Provider Demographics
NPI:1588714570
Name:BROWN, SHAMEKA TEANEA (DNP, FNP-BC, CME)
Entity type:Individual
Prefix:
First Name:SHAMEKA
Middle Name:TEANEA
Last Name:BROWN
Suffix:
Gender:F
Credentials:DNP, FNP-BC, CME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 CROYDEN RD
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-5105
Mailing Address - Country:US
Mailing Address - Phone:267-679-3579
Mailing Address - Fax:
Practice Address - Street 1:107 N BRIDGE ST
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5326
Practice Address - Country:US
Practice Address - Phone:410-392-6408
Practice Address - Fax:410-392-6409
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE00718225200000X
DELG-0001062363L00000X
PARN628620163W00000X
MDAC002225363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No163W00000XNursing Service ProvidersRegistered Nurse